Table of Contents
ISRN Emergency Medicine
Volume 2012 (2012), Article ID 410931, 7 pages
http://dx.doi.org/10.5402/2012/410931
Research Article

Community Stepdown Care: A Safe Alternative for Selected Elderly Patients Attending Emergency Department?

Emergency Department, Tan Tock Seng Hospital, Singapore 308433

Received 17 October 2012; Accepted 4 November 2012

Academic Editors: L. V. Downey, C. R. Harris, J. D. Losek, and S. C. Shapira

Copyright © 2012 Chee Kheong Ooi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. K. Kinsella and V. A. Velkoff, “An Aging World: 2001 [Internet]. US Government Printing Office, US Census Bureau 2001, P95/01-1,” 2011, http://www.census.gov/prod/2001pubs/p95-01-1.pdf.
  2. Communicable Disease Centre, “Public health and aging: trends in aging—United States and worldwide,” MMWR Weekly, vol. 52, no. 6, pp. 101–106, 2003. View at Google Scholar
  3. Framework of integrated health services for the elderly [Internet], 2011, http://www.moh.gov.sg/content/moh_web/home/pressRoom/pressRoomItemRelease/2000/framework_for_integrated_health_services_for_the_elderly.html.
  4. J. Cheah, L. M. Wong, and H. L. Pang, “Integrate now, create health: perspectives from Singapore,” International Journal of Integrated Care, vol. 10, pp. 1–2, 2010. View at Google Scholar
  5. A. Tonks, “Medicine must change to serve an ageing society,” British Medical Journal, vol. 319, no. 7223, pp. 1450–1451, 1999. View at Google Scholar · View at Scopus
  6. K. Chu, A. Brown, and W. Lukin, “Local trends in emergency department attendances by older patients in an ageing national population,” Australian Health Review, vol. 33, no. 1, pp. 117–123, 2009. View at Google Scholar · View at Scopus
  7. I. D. Cameron and S. E. Kurrle, “Rehabilitation and older people,” Medical Journal of Australia, vol. 177, no. 7, pp. 387–391, 2002. View at Google Scholar · View at Scopus
  8. National Service Framework for Older People [Internet], 2011, http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4003066.
  9. J. Young and J. Stevenson, “Intermediate care in England: where next?” Age and Ageing, vol. 35, no. 4, pp. 339–341, 2006. View at Publisher · View at Google Scholar · View at Scopus
  10. J. Reed, G. Cook, S. Childs et al., “A literature review to explore integrated care for older people,” International Journal of Integrated Care, vol. 5, pp. 1–8, 2005. View at Google Scholar
  11. J. Birns and D. Beaumont, The Older Person in the Accident & Emergency Department [Internet], British Geriatrics Society Best Practice Guide, 2010, http://www.bgs.org.uk.
  12. J. Young, A. Forster, and J. Green, “An estimate of post-acute intermediate care need in an elderly care department for older people,” Health and Social Care in the Community, vol. 11, no. 3, pp. 229–231, 2003. View at Google Scholar · View at Scopus
  13. T. Ishizaki, Y. Kobayashi, and N. Tamiya, “The role of geriatric intermediate care facilities in long-term care for the elderly in Japan,” Health Policy, vol. 43, no. 2, pp. 141–151, 1998. View at Publisher · View at Google Scholar · View at Scopus
  14. M. S. McDonagh, D. H. Smith, and M. Goddard, “Measuring appropriate use of acute beds: a systematic review of methods and results,” Health Policy, vol. 53, no. 3, pp. 157–184, 2000. View at Publisher · View at Google Scholar · View at Scopus
  15. J. Coast, A. Inglis, and S. Frankel, “Alternatives to hospital care: what are they and who should decide?” British Medical Journal, vol. 312, no. 7024, pp. 162–166, 1996. View at Google Scholar · View at Scopus
  16. J. Young, J. Green, A. Forster et al., “Postacute care for older people in community hospitals: a multicenter randomized, controlled trial,” Journal of the American Geriatrics Society, vol. 55, no. 12, pp. 1995–2002, 2007. View at Publisher · View at Google Scholar · View at Scopus
  17. T. T. Dang, P. Antolin, and H. Oxley, Fiscal Implications of Ageing: Projections of Age-Related Spending [Internet], Economic Departments Working Papers, Organisation for Economic Co-operation and Development (OECD), 2001, http://www.oecd.org/dataoecd/1/22/2085481.pdf.
  18. A. Steiner, “Intermediate care—a good thing?” Age and Ageing, vol. 30, no. 3, pp. 33–39, 2001. View at Publisher · View at Google Scholar · View at Scopus
  19. A. P. Halpert, S. D. Pearson, and T. Reina, “Direct admission to an extended-care facility from the emergency department,” Effective Clinical Practice, vol. 2, no. 3, pp. 114–119, 1999. View at Google Scholar · View at Scopus
  20. Developing Intermediate Care To Support Reform and Emergency Care Services [Internet], Report of the Intermediate Care Working Group, British Geriatrics Society, 2003.
  21. E. Burns, “Older people in accident and emergency departments,” Age and Ageing, vol. 30, no. 3, pp. 3–6, 2001. View at Publisher · View at Google Scholar · View at Scopus
  22. P. Paul, B. H. Heng, E. Seow, J. Molina, and S. Y. Tay, “Predictors of frequent attenders of emergency department at an acute general hospital in Singapore,” Emergency Medicine Journal, vol. 27, no. 11, pp. 843–848, 2010. View at Publisher · View at Google Scholar · View at Scopus
  23. L. Gray, “Subacute care and rehabilitation,” Australian health review : a publication of the Australian Hospital Association, vol. 25, no. 5, pp. 140–144, 2002. View at Google Scholar · View at Scopus
  24. J. Young, Intermediate Care: Guidance for Commissioners and Providers of Health and Social Care [Internet], British Geriatrics Society Best Practice Guide, British Geriatrics Society, 2010, http://www.bgs.org.uk/Publications/Publication%20Downloads/Comp.%204.2%20Intermediate%20Care.pdf.
  25. Rehabilitation of Older People [Internet], British Geriatrics Society Policy Committee, British Geriatrics Society Best Practice Guide, 2009, http://www.bgs.org.uk/Publications/Compendium/compend_1-4.htm.
  26. S. Nuñez, A. Hexdall, and A. Aguirre-Jaime, “Unscheduled returns to the emergency department: an outcome of medical errors?” Quality and Safety in Health Care, vol. 15, no. 2, pp. 102–108, 2006. View at Publisher · View at Google Scholar · View at Scopus
  27. J. Mccusker, S. Cardin, F. Bellavance, and É. Belzile, “Return to the emergency department among elders: patterns and predictors,” Academic Emergency Medicine, vol. 7, no. 3, pp. 249–259, 2000. View at Google Scholar · View at Scopus
  28. H. Garåsen, R. Windspoll, and R. Johnsen, “Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial,” BMC Public Health, vol. 7, article 68, 2007. View at Publisher · View at Google Scholar · View at Scopus